TAQWA SHAKUR

COLUMBUS, OH
NPI1881171411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  167865)
Enumeration Date2018-07-26
Last Update Date2018-07-26
Business Address
TAQWA SHAKUR
360 S GRANT AVE
COLUMBUS, OH 43215-5537
Phone number: 614-735-4265
Mailing Address
TAQWA SHAKUR
360 S GRANT AVE
COLUMBUS, OH 43215-5537
Phone number: 614-735-4265
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